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Home My WebLink About31130-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30951 Date: OS/31/05 THIS CERTIFIES that the building ALTERATION Location of Property: 2070 HYATT RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 50 Block 1 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 13, 2005 pursuant to which Building Permit No_ 31130-Z dated MAY 13, 2005 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is "AS BUILT" ALTERATION TO A NON-HABITABLE BASEMENT IN AN EXISTING SINGLE FAMILY DWELLING (TO REMAIN NON-HABITABLE) AS APPLIED FOR & AS PER CERTIFICATION OF JOSEPH FISCHETTI, P.E. DATED 5/24/05. The certificate is issued to BONNIE BAUMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2052891 05/24/05 PLUMBERS CERTIFICATION DATED 05/07/05 MATTITUCK PLUMB.&HEATING Au h rize Signature Rev. 1/81 J Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be tilled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2,10 of I% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Subnut Planting Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate sun ey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $ 100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. l v New Construction: Old or Pre-existing Building: (check one) Location of Property: }.D -7 0 ~aGf I t r ~(y V~1 1 Oe O( House No. y. Street Hamlet Owner or Owners Of Property: 60 C/LVAtt`%--6CP_ <:xyqa ~ - Suffolk County Tax Nlap No 1000, Section 5-0, Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant W V vi (e~ -13 cz Lo M a Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: 5 W-15) -1e' Applicant Signature 311- 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: y~ DATE 1 INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [,I-f INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: = ' 3113v DATE `S INSPECTOR r 1 TuwnHill, 5n0". mniiinuad IorI51f,I7SS'~91:~ r.0 nox 1I7e 1 I; trip pli9nq (y1Fl 7f.5 ICiJ ;nt,ihul,l. Naw Yolk 11071 . r~ i.: I OFFICE Or THE BUILDING INSPE(;Tc)n TOWN Or SOUTI TOLD C E R T I F I C A T I O N DAT F: ~ f DuildIng Permit No. culler: nn Daum°n (please//pr..lllt) I Plumber: , r ZItd+; 4 p ease e p prrI nt) ~ J i certify that the sol.dor used 111 the Maier skippl.y sy::t-m c•ontnins loss than 2/10 of J% lend, _.._If'Inmher.q t;jynnl:~lr~) MW A f1oWl No.711 47411 "ft pup m Nassau / SON 00 nn E~p~res 9 Sworn to before me this -Yt6 e- /D cloy of -,4-', ` Notary Publics ~G~GG~ ~uunty D rJ~rJ rJrJ~rJ~r f~ r~t~ cPrJr~rJ~~P~rJ~r flJl?fcPcP rJtJr~rnr1 51: ~rJ~r~rJ~ rJ@Pr~rJ~rJ~rJrJ~rJ~r1r~rJ~rJ~rJ~rJ~rPrJ~tJ~rJc frJ~rJ~ 1~?7 5 BY THIS CERTIFICATE OF COMPLIANCE THE rJ 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 BUREAU 5 40 FULTTON STREET F ELECTRICITY NEWYORK, NY 10038 5 c7 CERTIFIES THAT Upon the application of upon premises owned by 5 5 JIM SAGE ELEC. INC. BONNIE BAUMAN 5 rj P.O. BOX 38 2070 HYATT RD Cj 5 GREENPORT, NY 11944-0038, SOUTHOLD, NY 11971 5 ~S± 5 Located at 2070 HYATT RD SOUTHOLD, NY 11971 5 5 Application Number: 2052891 Certificate Number: 2052891 5 Section: Block: Lot: Building Permit: BDC: ns11 5 Described as a occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: C5 Basement, Finnish basement, 5 c~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, DegfWtment of State d~Rforcement and Administration, or other 5 5 authority having jurisdiction, and found to be in compliance there ith on the Day of 5 5 Name QTY Rate Ratine Circuit Type 5 5 Miscellaneous 5 5 as built 1988 5 5 Appliances and Accessories 5 5 Exhaust Fan 1 0 F.H.P. 5 5 Wiring and Devices 5 Outlet 6 0 Fixture C5 5 Fixture 6 0 Incandescent C~ 5 Outlet 8 0 General Purpose 5 5 Receptacle 7 0 General Purpose IN 5 Switch 5 0 General Purpose 5 5 Receptacle 1 0 GFCI 5 5 A visual inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. 5 5 5 Sea/ ~C 5 I of 1 5 51 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 5 5 O rJrJrJ cPrJ~rJa rJrJrJ~rJ~r>~rPrJrJrJrJ rJr~rlcPrlcPrJ~ rJrJrPcPr~rlr~rJ@PrJrJcPcP rJ~rJrJ~rJcP O PROFESSIONAL ENGINEER `.-L. IS - l ii7 S I n 1 1725 HOBART ROAD/PO Box 616, SOUTHOLD, NEW YORK 11971 TEL 631-7652954 • FAX 6316143516 • e-mail: joseph@fischetli.com JI 2e2o% I.: oFr _ynDate: May 24, 2005 Reference: BP # 31130 Bauman Southold Building Dept PO Box 1179 Southold, NY 11971 Dear Sir, I certify that the work completed in accordance with the signed and certified as built plans submitted for the above referenced Buildin ermit has been completed in accordance with those as built plans. 0,9 6 awe'' Joseph ' chetti, P.E. XMNM MId PROFESSIONAL ENGINEER 1725 HOBART ROAD I PO Box 616, SOUTHOLD, NEW YORK 11971 TEL 631-7652954 • FAX 631.614-3516 • e-mail: joseph@fischetli.com Date: May 10, 2005 Reference: 2070 Hyatt Road } I r 1020,.E i Southold Building Department ~n Li Lts` f Main Road Southold, NY 11971 Dear Sir, I have inspected the following items and I certify that they are completed as of this day: 1. Cleanout to fireplace has been repaired 2. Metal Dryer Vent installed 3. Battery in smoke detector inst le pp NE{.yy P af~S ~9f Z NO 0 1b~~ ~FESSt Joseph Fischetti, P.E. NMK~ W FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 31130 Z Date MAY 13, 2005 Permission is hereby granted to: BONNIE BAUMAN 1065 HYATT ROAD SOUTHOLD,NY 11971 for AS BUILT ALTERATION TO A NON-HABITABLE BASEMENT AS APPLIED FOR. TO REMAIN NON-HABITABLE. ADDITIONAL CERTIFICATIONS MAY BE REQUIRED. at premises located at 2070 HYATT RD SOUTHOLD County Tax Map No. 473889 Section 050 Block 0001 Lot No. 001 pursuant to application dated MAY 13, 2005 and approved by the Building Inspector to expire on NOVEMBER 13, 2006. Fee $ 300.00 Authorized Signature ORIGINAL Rev. 5/8/02 JWN OF SOUTHOLD (~a I{ 1 11 DING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT - - ' Do you have or need the following. before applying? TOX'I'N HALL ~ I Board of Health SOUTHOLD, NY 11971 I 1 10 2rll7 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 t a, r~ DFr „ Survey wmw. northfork.net/Southold/ PERMIT N~-. Check Septic Form N.Y.S.D.E.C. Trustees Examined ~1~) , 20 { Contact: Approved 117,, 20 ~J Mail to: Disapproved a c Phone: lG J 5 Expiration , 20 Bui tng Ins ector APPLICATION FOR BUILDING PERMIT i Date U 200 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application. the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f Even, building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. 3-U) (Signature of applicant or name. if a corporation) f§a-a Imo' 115&bc (Mailing of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises 60--o mC n (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on wlu h propo'sgd work w'll be done: r~ D-6 ~ O a S~i~1L l House Number reet Hamlet County Tax Map No. 1000 Section 3-0 r Block Lot Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration--X- Repair Removal Demolition Other Work ( Description) 4. Estimated Cost Fee (To he paid on filing this application) If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 3. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 13. Does proposed construction violate any zoning law, ordinance or regulation' YES NO 13. Will lot be re-graded' YES NO Will excess fill be removed from premises'? YES NO 14. Names of Owner of premises) i lA C((#t"dress 4(t a Phon: "o. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAYBE REQUIRED. b. Is this property within 300 feet of a tidal wetland' * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide sun'ey, to scale, with accurate foundation plan and distances to property lines. 4b~J , /J 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on sun'ev. STATE OF NEW YORK) SS: COUNTY OF S, f PF I'~_ )~j ran rn ~VV f l/ r/ 0 ran &4 being duly sworn, deposes and say> that (s)he is the applicant (Name of individual signing contract) above named. (S)He is the C -,3 t1 q R _ (Contractor, Agent. Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application: that all statements contained in this application are true to the best of his knowledge and belief. and that the work will be performed in the manner set forth in the application tiled therewith. Sworn to before me this o+ N day of M AA 20 0 1- Notary Public Signature of Applicant John M. Judge NOTARY PUBLIC, state of New York No.01JU6059400 Oualified In Suffolk County Comm~i-Eton Expires May 29, 20 0 77 I'.'i riyrAA `'Ivy t+'kL F~F~,= Zr.;}:.r rS ` y , y ; ^`x n s pr r Y'r ! e 51f ._41.~ + ~ w..r >i ark,! '.t~~L`34, +tT ~ r aq~~~ s~G~p~'h ;i' 4 ~f~~~}'~~4; ~ ~~#'1. f r~. dir I f Yr - tit l~.: ~ . ~iY kv l„s` W,. +Y raE 'd' 1 : Y d .it_. ..'i' ~.Y.1 1'~n-•. 2 h y. 4 r sJ ~y, yXg}~! e~ u~t i d t.~Y 4: Iii F .y RI "A`' h V ! 1 -Y 4 I '.1 ~ ~SZ ~ 3J 4 v i• a v AU I I -dc y ill I _ - _ i UNDERWRITERS CERTffICA':' REQUIREP APPROVED AS NOTED I DATE: ~ B.P:#31130 W l NOTIFY BUILDING DEPARTMENT AT 765-1832 8 AM TO 4 PM FOR THE - FOLLOWING INSPECTIONS: . - -1,. FOUNDATION- TWO REQUIRED FOR POURED CONCRETE - 2. HOUGH - FRkMJNG,& PLUMBING 3, INSULATION - 4. FINAL - CCN97qi~,.TIQN MUST BE COMPLETE ~GR C.O. - - ALL CONSTRUCTION SHALL MEET THE - REQUIREMENTS OF THE CODES OF NEW YORK STATE,' NOT RESPONSIBLE FOR .I DESIGN OR CONSTRUCTION ERRORS. 7 a OCCUPANCY OR i ~y I USEIS UNLAWFUL - WITHOUT CERTIFICATE b7 i Sy~~., 1 OFOCCUPANCY ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OFTHE, CODES OF NEW YORK-STATE, 'k COMPLY WITH ALL CODES OF b NEW YORK STATE R TOWN CODES I' 4~ AS ;,E^"+pGD AND CONDITIONS OF SOUTHOLDTOWN ZBA . T` SOL. MOLJ TOWN PLANNING BDARD SOUTHOLD TOWN TRUSTEES N.Y.S. DEC PLUMBING 'ALDPLUMBING WASTE & WATER LINES NEED- ' ' - TESTING BEFORE COVERING L~~"Jfl 'w`~~ PL UMBER CERTIFICATION ON LEAD CONTENT BEFORE I, f~x+nrSS€w`CERTIFICATEOFOCCUPANCY ' SOLDER USED IN WATER SUPPLY. 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